Monkspath Surgery
PPG presentation 12.06.13
Forward thinking practice
Embrace change
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Development
From Portacabin 1985
Purpose built premises 1986
Modern practice to provide care for expanding population
with increasing demands
1st fully computerised GP Practice in Solihull
2nd Wave Fundholder
1992-1999
2nd Wave PMS
2001 – on
Work closely with CCG
NEW GP Contract on the horizon
Personnel - GPs
Simon Green
Partner
Arturo Lupoli
Partner
Elizabeth Stokes
Partner
Beverley Dickinson
Partner
Johanna Russell
Partner
Louise Rowe
Salaried GP
Shadan Alam
Salaried GP
Neha Sharma
Salaried GP
Interviewing NOW
New Salaried Doctor
Personnel - Nurses
Carol Maxwell
Nurse
Sally Scott
Nurse
Penny Moore
HCA
Anna Cunningham
HCA
Interviewing NOW
Nurse
Nurse Practitioner
GP Contract
 Provide health care to those who are ill  or think they are ill
List Size
Enhanced SERVICES
 Diabetes
 Minor surgery
 Long acting reversible contraception
 (coils, implants)
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NHS health checks
Flu vaccinations
Pneumococcal vaccinations
Prenatal pertussis vaccinations
Enhanced SERVICES
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Childhood immunisations
Extended hours
Learning disability health checks
Smoking cessation
Anticoagulation monitoring
Warfarin initiation for atrial fibrillation
Near patient testing
24 hour blood pressure monitoring
Prostate Cancer Treatment
Nursing Services
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Dressings
Cytology
Travel
ECGs
Spirometry
COPD
Asthma
Nursing Services
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Family planning
HRT
Ear irrigation
Vaccinations
Phlebotomy
Well person checks
Removal of sutures/ staples
Audiology
Medical Care for Nursing and
Residential Homes
 110 frail elderly residents in 2 homes
 Swallows Meadow Court & Priory Nursing Home
 Reduced routine visits
 Low referral and admission rate
 Improved prescribing, dispensing and administration
 Improved End of Life Care
 Improved communication with nursing staff
Swallows Meadow awarded BEACON STATUS for
End of Life Care in GSF Nursing Homes Accreditation
Won Regional Final Health & Social Care Awards
Advanced and Enhanced Access
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Developed in response to demand
Additional doctors actively employed
Triage Nurse employed to improve skill mix & Service to patients
Clinical Assessment Service (CAT)
Advanced and Enhanced Access
 Improved Telephone access
 August 2010
*June 2012
Advanced and Enhanced Access
 Resulted in
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Improved access to services
Ability to deal with increasing demands for appointments
Ability to deal with problems “on the day”
Reduced hospital admissions
Reduced referrals
Reduced casualty attendance
Reduced need for patient to use Walk In Centre
Statistics from Sirrius
Referral Quality Review
 Internal referrals
 Improved access to Primary Care
 Reduced referral to Secondary Care
 Special Interests include – Gynaecology, Dermatology, Minor
Surgery, Drugs and Alcohol, Family Planning, ENT, Insulin
Initiation, Sexual Health, Doppler, Warfarin Initiation
 Ophthalmology, Palliative Care, Elderly Care, Travel Medicine,
Sports Injuries, Mental Health – section 12 approved
Enhanced Opening Hours
 Surgery open 8am to 6.30pm Monday to Friday
 Plus extended hours 6.30-8pm Monday and Thursday
for booked appointments
 Improves access to Primary Care
 Do not divert to Walk in Centre
Enhanced IT services
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Surgery Intranet
Surgery Website
Patient TV with Health Promotion
Text reminder for appointments
Self-checking in system
Paperlite=>paperless
E-mail
 for cancelling appointments
 Making appointments
 Ordering repeat prescriptions
Electronic Prescription Service
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Do you always use the same pharmacy?
Is your Pharmacy REGISTERED for EPS?
Register PHARMACY OR The Practice
All prescriptions sent to Pharmacy
Collect from nominated pharmacy
 No Change
 Ordering Process
 Turnaround time
 No paper!!
The future??
 PMS
 New Contract
 Out of Hours
 Remote Monitoring e.g. Diabetes
 Dementia Screening
 Electronic Access to Patient Records